1/2 price offer

Name:

Address:

Postcode:

Tel no:

Email:

Company:

Tel no for ADSL:
number that will be used for your broadband line.

Broadband Type (Choose above):

bronze

silver

gold

Speed:

Contention:

Return of this form does not constitute an accepted order until Swains Voice and Data plc has formally signed off the received request. All ADSL orders are subject to a minimum 90-day contract from date of activation.
By returning this form you agree to the DSL Terms and Conditions supplied with this form.

I have read and accept the terms and conditions.